REGINA BURGESS CARRICK (NPI# 1679914378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679914378 |
| Entity Type | Individual |
| Full Name | REGINA BURGESS CARRICK |
| Credential | LPC |
| Practice Address |
1062 Maple Dr Suite 1 Morgantown WV 26505-0809 |
| Mailing Address |
Po Box 6230 Wheeling WV 26003-0722 |
| Practice Telephone | 3045995751 |
| Practice Fax Number | 3045992124 |
| Mailing Telephone | 3042427106 |
| Mailing Fax Number | 3042427108 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1578 | WV | Behavioral Health & Social Service Providers |
| Street Address |
1062 MAPLE DR SUITE 1 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-0809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686802 | Tandy J Mcclung | Psychologist | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-0809 | 2006-02-06 |
| 1700063054 | Ian Stuart Kellems | Psychologist | 1062 Maple Dr, Suite1, Morgantown, WV 26505-0809 | 2008-01-29 |
| 1356564728 | Judith Smith Wilkinson | Counselor | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2007-04-11 |
| 1346206281 | Ellen Mcbride | Counselor | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2006-04-20 |
| 1124097456 | Lisa C Hamilton | Psychologist | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2006-03-17 |
| 1679540876 | George D Moses | Counselor | 1062 Maple Dr, Suite 1, Morgantown, WV 26505-2815 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236788 | Jennifer Nicole Morris | Counselor | 119 Fairview Ave, Morgantown, WV 26505-5806 | 2020-08-17 |
| 1255990834 | Ashley Rinehart | Counselor | 1063 Maple Dr Ste 1, Morgantown, WV 26505-0387 | 2019-06-07 |
| 1063982254 | Alicia Dawn Cale | Counselor | 165 Scott Ave Ste 103, Morgantown, WV 26508-8847 | 2018-11-29 |
| 1588196604 | Dave Hansen | Counselor | 206 Eastgate Dr, Morgantown, WV 26508-5939 | 2017-03-29 |
| 1063786358 | Robin Falor | Counselor | 139 Canyon Vlg, Morgantown, WV 26508-9085 | 2012-03-04 |
| 1205080157 | Shanna L. Beckett | Counselor | 4221 East Main Street, Morgantown, PA 19543 | 2008-11-05 |
| 1245374016 | Billie J Keechel | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2007-02-16 |
| 1861968257 | Sabrina Garzione | Counselor | 165 Scott Ave, Morgantown, WV 26508-8839 | 2018-10-23 |
| 1083103212 | Darice Renee Yerkovich | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-03 |
| 1679062806 | Carly Wears | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-03 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on REGINA BURGESS CARRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.